CLAUDIA REGINA FURQUIM DE ANDRADE
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina - Líder
9 resultados
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- Educação mediada por tecnologia em Fonoaudiologia: impacto na motivação para aprendizagem sobre o Sistema Miofuncional Orofacial(2016) RONDON-MELO, Silmara; ANDRADE, Claudia Regina Furquim deABSTRACT This study aimed to compare the learning motivation of three learning methods as means of teaching Anatomy and Physiology of the Orofacial Myofunctional System of second-year Speech-Language and Hearing Sciences undergraduate students. The study was conducted with 36 students that participated after signing an informed consent form. Each student was randomly allocated to the groups: Group I (GI) – 12 participants using Interactive Method 1 (IM1); Group II (GII) – 12 participants using Interactive Method 2 (IM2); and Group III (GIII) – 12 participants using the Traditional Method (TM). The learning methods were applied during weekly complementary study schedule, following the discipline’s lectures. Upon the conclusion of the learning methods application, the Instructional Materials Motivation Survey questionnaire was administered for evaluating the students’ learning motivation. Data were analyzed using SPSS software version 21. Comparisons between groups were performed using ANOVA followed by Tukey post hoc test. The significance level was set at 5%. The groups differed in all evaluated aspects with the total score (F2,33 = 3691.17 p <0.001). The GII had the highest overall score (GI x GII = p = 0.015; GI x GIII = p = 0.115; GII x GIII = p <0.001). On attention (GII x GIII = p = 0.001) and confidence (GII x GIII = p = 0.003), GII had higher scores than GIII. There was no difference between groups on relevance. For satisfaction, GII had the highest score (GI x GII = p = 0.023; GII x GIII = p <0.001). Therefore, summatively, the 3D computer model was more efficient in enhancing students’ learning motivation.
- Correlation between the severity of critically ill patients and clinical predictors of bronchial aspiration(2016) MEDEIROS, Gisele Chagas de; SASSI, Fernanda Chiarion; ZAMBOM, Lucas Santos; ANDRADE, Claudia Regina Furquim de
- Comparison of different speech tasks among adults who stutter and adults who do not stutter(2016) RITTO, Ana Paula; COSTA, Julia Biancalana; JUSTE, Fabiola Starobole; ANDRADE, Claudia Regina Furquim deOBJECTIVES: In this study, we compared the performance of both fluent speakers and people who stutter in three different speaking situations: monologue speech, oral reading and choral reading. This study follows the assumption that the neuromotor control of speech can be influenced by external auditory stimuli in both speakers who stutter and speakers who do not stutter. METHOD: Seventeen adults who stutter and seventeen adults who do not stutter were assessed in three speaking tasks: monologue, oral reading (solo reading aloud) and choral reading (reading in unison with the evaluator). Speech fluency and rate were measured for each task. RESULTS: The participants who stuttered had a lower frequency of stuttering during choral reading than during monologue and oral reading. CONCLUSIONS: According to the dual premotor system model, choral speech enhanced fluency by providing external cues for the timing of each syllable compensating for deficient internal cues.
- Atuação fonoaudiológica em pacientes com síndrome da imunodeficiência adquirida e queixa de deglutição – análise retrospectiva de prontuários(2016) MANGILLI, Laura Davison; SASSI, Fernanda Chiarion; STAFOCHER, Thalita Suelyn; ANDRADE, Claudia Regina Furquim deABSTRACT Purpose To verify and characterize the function of swallowing in Acquired Immunodeficiency Syndrome (AIDS) patients with a complaint of dysphagia. Methods We performed a retrospective analysis of the medical records of 17 AIDS patients treated in a school hospital between 2011 and 2012, who underwent a bedside evaluation and treatment of swallowing. The data were related to the results of the bedside evaluation that followed specific protocols, both at baseline and discharge. Patients were divided into two groups: 1) patients who completed the swallowing intervention during the admission (GCSI); and 2) patients who did not complete the swallowing intervention during the admission (GNCSI). Results The groups did not differ in age and gender. For the classification of swallowing: 1) both groups had significantly better scores at discharge compared to those at baseline (GNCSI: p=0.024; GCSI: p=0.011); 2) the scores did not differ between groups at baseline (p=0.349); 3) at discharge, the scores were different between groups (p=0.002), with better results in the GCSI group. The analysis of the clinical signs and symptoms of oropharyngeal dysphagia or penetration/aspiration indicated that in both groups, there was a statistically significant difference between baseline and discharge only in the presence of multiple swallows (a decrease in the number of swallows after intervention). Conclusion Swallowing ability improved after intervention. Additionally, clinical signs and symptoms suggestive of oropharyngeal dysphagia or penetration/aspiration resolved. The GCSI group showed better results than GNCSI after intervention.
- Paralisia facial periférica: atividade muscular em diferentes momentos da doença(2016) WENCESLAU, Lais Garcia Capel; SASSI, Fernanda Chiarion; MAGNANI, Dicarla Motta; ANDRADE, Claudia Regina Furquim DeABSTRACT Purpose : To assess, through surface electromyography (sEMG), the activity of the risorius and zygomaticus muscles, during the production of voluntary smiles and to compare these data between two groups of individuals with different onset times of peripheral facial palsy (PFP). Methods : A total of 140 adults were divided into three groups: G1 (35 individuals with PFP onset time between 0 and 3 months); G2 (35 individuals with PFP onset time between 3 and 6 months); CG (control group) (70 healthy controls). All of the participants were submitted to the following assessments: clinical protocol for the assessment of facial mimic and sEMG of the risorius and zygomaticus muscles. Results: The results suggest that the groups of individuals with PFP differed from the control group considering muscle activity during rest and during the production of voluntary smiles, regardless of the onset time of the disease. The groups with PFP did not differ between themselves in any of the tested situations. The group with PFP with longer onset time presented greater muscle activation asymmetry during the production of the voluntary smiles when compared to the other two groups. Muscle asymmetry was more evident when considering the results for the risorius muscle. Conclusion : The results of the sEMG do not distinguish the groups when considering PFP onset times.
- Carta ao Editor(2016) ANDRADE, Claudia Regina Furquim de
- Diadococinesia sequencial em crianças fluentes e com gagueira desenvolvimental persistente: análise da velocidade e tipo do erro da consoante alvo(2016) JUSTE, Fabíola Staróbole; RITTO, Ana Paula; SILVA, Kalil Garcia do Nascimento; ANDRADE, Claudia Regina Furquim deABSTRACT Purpose To compare the oral motor performance of stuttering and fluent children based on the production rate of sequential diadochokinesis (DDK) and on the type of errors. Methods Participants were 46 children, aged between 4 years and 11 years and 11 months, divided into two groups: Research Group (GI), composed of 23 children with persistent developmental stuttering; Control Group (GII), composed of 23 fluent children, paired by age and gender to participants of GI. For each participant, three samples of sequential DDK were recorded in 15-second windows. These samples were later analyzed considering articulatory rate, and number and type of consonant errors per sample. Results The groups did not present significant differences when considering the analyzed variables. Both fluent and stuttering children presented similar performances for articulatory rate and consonant errors (i.e., the most frequent type of error was consonant exchange). Conclusion Children with developmental stuttering and their fluent peers presented similar performances in all of the tested variables, suggesting that sequential DDK was not enough to identify the stuttering group.
- Caracterização miofuncional orofacial e eletromiográfica de pacientes submetidos à correção da fratura condilar por redução aberta e fechada(2016) SILVA, Amanda Pagliotto da; SASSI, Fernanda Chiarion; ANDRADE, Claudia Regina Furquim deABSTRACT Purpose To characterize the oral-motor system of adults with mandibular condyle facture comparing the performance of individuals submitted to open reduction with internal fixation (ORIF) and closed reduction with mandibulomaxillary fixation (CRMMF). Methods Study participants were 26 adults divided into three groups: G1 – eight individuals submitted to ORIF for correction of condyle fracture; G2 – nine individuals submitted to CRMMF for correction of condyle fracture; CG – nine healthy volunteers with no alterations of the orofacial myofunctional system. All participants underwent the same clinical protocol: assessment of the orofacial myofunctional system; evaluation of the mandibular range of motion; and surface electromyography (sEMG) of the masticatory muscles. Results Results indicated that patients with condyle fractures from both groups presented significant differences compared with those from the control group in terms of mobility of the oral-motor organs, mastication, and deglutition. Regarding the measures obtained for mandibular movements, participants with facial fractures from both groups showed significant differences compared with those from the control group, indicating greater restrictions in mandibular motion. As for the analysis of sEMG results, G1 patients presented more symmetrical masseter activation during the task of maximal voluntary teeth clenching. Conclusion Patients with mandibular condyle fractures present significant deficits in posture, mobility, and function of the oral-motor system. The type of medical treatment does not influence the results of muscle function during the first six months after fracture reduction. Individuals submitted to ORIF of the condyle fracture present more symmetrical activation of the masseter muscle.
- Randomized clinical trial: the use of SpeechEasy (R) in stuttering treatment(2016) RITTO, Ana Paula; JUSTE, Fabiola Starobole; STUART, Andrew; KALINOWSKI, Joseph; ANDRADE, Claudia Regina Furquim deBackgroundNumerous studies have demonstrated the benefit of devices delivering altered auditory feedback (AAF) as a therapeutic alternative for those who stutter. AimsThe effectiveness of a device delivering AAF (SpeechEasy (R)) was compared with behavioural techniques in the treatment of stuttering in a randomized clinical trial. Methods & ProceduresTwo groups of adults who stutter participated: group 1 consisted of 10 men and one woman aged 21-42 years (mean = 30.0). Group 2 consisted of six men and one woman aged 20-50 years (mean = 35.6). Participants in group 1 were fit with a SpeechEasy (R) device and were not given any additional training (i.e., supplementary fluency enhancing techniques). Participants used the device daily for 6 months. Participants in group 2 received treatment in the form of a 12-week fluency promotion protocol with techniques based on both fluency shaping and stuttering modification. Outcomes & ResultsThere were no statistically significant differences (p > .05) between groups in participants' stuttered syllables following treatment. That is, both therapeutic protocols achieved approximately 40% reduction in number of stuttered syllables from baseline measures, with no significant relapse after 3 or 6 months post-treatment. Conclusions & ImplicationsThe results suggest that the SpeechEasy (R) device can be a viable option for the treatment of stuttering.